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City/County <br /> Waste T . urvey and Inspection Repoi t Mailing Address <br /> Phone Number <br /> a of Califomia <br /> MB-54(10/03) <br /> RT D -Notes G� Pagep�of f <br /> le Number: Inspection te. <br /> A2s o3 <br /> isiness/FaciliName: GPS Co din tes: 1 <br /> 0 <br /> /uf ucT�i� ���w 1rt3 &! UAtati b,v <br /> 41 <br /> %rt G0 V�o drl <br /> r' cbA v`ot� aS- mjnc>r ti vn <br /> /5sc,tc,. �v L�l,✓y1 <br /> l y aR 173 51 ?r_c, 01!6 n /1W IAY -2 ��r l / d� s n0� L+�wc, ad e tr e_ <br /> • 7i !n1 II to X ) - <br /> r TrD Ge�2 o C r- h (Vr.5 wG✓2 <br /> CN ' <br /> r <br /> u+L dS 6c ✓� 1l i')hI"/✓L'h�1P,y►Ts �t 0 7YD l � o� WGt STS 7 i• Ct/1� ✓1 a? 1 r« . <br /> e,`` er\\ a w e �M} S s 3 <br /> V\j;, �p e, `\W (�-Y.S ��1 Ute' 0005_.2 <br /> CV" <br /> iz_ VSO r, <br /> W <br /> I <br /> Follow-up: <br /> ❑ Letter of Violation ❑ Violation re-inspection Refer to CIWMB Date: <br /> Date Mailed: Date: <br /> ❑ Other Referrals <br /> ❑ If this box checked NFA required. ❑ No tires, remove. ❑ Out of business, remove. <br /> Inspector's Signa _ Phone:oV`l <br /> I W M B Yellow Copy: Operator Blue Copy: LEA <br />